[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
April 1947

SURGICAL TREATMENT OF PEPTIC ULCER: Recent Experience at Los Angeles General Hospital

Author Affiliations


Arch Surg. 1947;54(4):390-413. doi:10.1001/archsurg.1947.01230070398004

THE PROBLEM of peptic ulcer has been the subject of continued inquiry for over fifty years. Various phases of the problem of ulcer have been investigated by members of the surgical staff of the Los Angeles General Hospital from time to time. Between 1936 and 1939, one of us (H.L.T.) reported results of a clinical study of 500 cases of acute perforation of peptic ulcer from this hospital. The mortality rate in surgically treated patients in this group was 28.7 per cent.1 This figure compared favorably with reports from other sources during the same period. The present study was made to determine some of the aspects of recent experience with surgical treatment of peptic ulcer in one of the large general hospitals in the United States.

PERIOD OF OBSERVATION  This study covers the two and one-half year period from Jan. 1, 1943 through June 30, 1945. During that time

Thompson, H. L.:  Acute Perforation of Peptic Ulcer: Immediate and Late Results in Five Hundred Cases ,  J. A. M. A. 113:2015-2018 ( (Dec. 2) ) 1939.
Thompson, H. L.:  Acute Perforation of Peptic Ulcer: An Evaluation of Contributory and Exciting Causes ,  Surg., Gynec. & Obst. 64:863-871, 1937.
DeBakey, M.:  Acute Perforated Gastroduodenal Ulceration: A Statistical Analysis and Review of the Literature ,  Surgery 8:852-884 and 1028-1076, 1940.
Toland, C. G., and Thompson, H. L.:  Acute Perforation of Gastrojejunal Ulcer ,  Ann. Surg. 104:827-852, 1936.
Thompson, H. L.:  Acute Perforation of Peptic Ulcer: An Evaluation of Diagnostic Symptoms and Signs ,  California & West. Med. 44:1-16, 1936.
Black, B. M., and Blackford, R. E.:  Perforated Peptic Ulcer: Review of Ninety-Six Cases ,  S. Clin. North America 25:918-928 ( (Aug.) ) 1945.
Counseller, V. S.:  Surgery of the Stomach and Duodenum ,  S. Clin. North America 25:891-902, 1945.
Hinton, J. W.:  Surgical Treatment of Chronic Duodenal Ulcer ,  Bull. New York Acad. Med. 22:227-236, 1946.
Reinhoff, W. F.:  An Analysis of the Results of the Surgical Treatment of Two Hundred and Sixty Consecutive Cases of Chronic Peptic Ulcer of the Duodenum ,  Ann. Surg. 121:583-599, 1945.